2023 Annual Meeting Biologics-Opinion_ Patellofemoral Bipolar Lesions_ Less Is More

Opinion_ Patellofemoral Bipolar Lesions_ Less Is More_ Palliative Treatment and Osteotomy

Video Transcription

Video Summary

The lecture discusses cartilage lesions in the knee, particularly in the patellofemoral joint, noting their common occurrence and varying symptom severity. Bipolar (kissing) lesions are less common but more challenging. Historically, bipolar lesions were contraindications for cartilage restoration, with treatment focusing on correcting malalignment and unloading the joint through osteotomy, like the anterior medialization of the tibial tubercle pioneered by McKay and Fulkerson. While autologous chondrocyte implantation and osteochondral allografts have been used, outcomes are mixed with significant failure rates. The summary emphasizes careful patient selection, use of osteotomy for unloading, and combining it with cartilage restoration for central/medial lesions.

Asset Caption

Paul E. Caldwell, M.D., FAANA

Keywords

cartilage lesions

patellofemoral joint

bipolar lesions

osteotomy

cartilage restoration